Find a Plastic Surgeon

How do I know which incision is correct for me?

I have lost 140 lbs. and currently weigh 155 lbs. (5'6). I have been discussing removal of excess skin (tummy tuck) and a breast lift and augmentation with multiple surgeons. I am very confused on the need for a vertical incision as I have varying opinions. 1) vertical from pelvic to breast bone 2) no need 3) vertical pelvic to belly button. How do I know which is correct for me? These are all certified and highly recommended Drs.

It sounds like you have done your research before visiting respected qualified plastic surgeons. Now you have a lot of excellent information, but a variety of opinions about the need for a vertical component to the incision. Hopefully these surgeons discussed their reasoning with you during the consultation. Understand the relative advantages and disadvantages of different incision methods. Perhaps they showed you Before & After photos of patients who were similar to you. Once you've made a tentative decision, you could request a second consultation with the preferred surgeon and get final questions answered. After it all, you will probably have a dramatically better body contour.

Whether you need a vertical incision with a tummy tuck after massive weight loss depends on how much excess skin you have in the horizontal direction above the umbilicus. If there is a possibility that the upper abdominal skin will fit well, I usually try not to use a vertical incision. You sound as if you may be borderline. However, if there is already a midline incision, I usually remove it and take out an upside down "V" closing the incision trying to improve the scar. Since you say all the surgeons are highly recommended, I would choose the one who made the best case for what they proposed and who you relate to best.